CN204932547U - Disposable integral type nose bile duct guide - Google Patents

Disposable integral type nose bile duct guide Download PDF

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Publication number
CN204932547U
CN204932547U CN201520415579.8U CN201520415579U CN204932547U CN 204932547 U CN204932547 U CN 204932547U CN 201520415579 U CN201520415579 U CN 201520415579U CN 204932547 U CN204932547 U CN 204932547U
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China
Prior art keywords
push rod
frame body
movable push
catheter
oropharyngeal
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Expired - Fee Related
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CN201520415579.8U
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Chinese (zh)
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张道权
丁静
王磊
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Jiangsu Province Hospital
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Jiangsu Province Hospital
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Abstract

本实用新型公开一种一次性一体式鼻胆管引导器,属于医疗器械技术领域,包括导丝、口咽部导管、架体以及设置在架体上的活动推杆,所述口咽部导管与所述架体连成整体,所述架体上设有供活动推杆前后移动的凹槽,所述活动推杆安装在所述凹槽内;所述导丝对折成“U”形,设置在所述口咽部导管内,且所述“U”形导丝的两端固定连接在所述活动推杆上。采用本实用新型装置,医护人员手指不用伸到病人口腔内避免病人牙齿咬伤;此外在全麻下ERCP病人鼻胆管口鼻转换时,可以轻易避开后坠舌根,大大提高口鼻转换成功率。

The utility model discloses a disposable integrated nasobiliary duct guider, which belongs to the technical field of medical devices, and comprises a guide wire, an oropharyngeal catheter, a frame body and a movable push rod arranged on the frame body, the oropharyngeal catheter and The frame body is connected as a whole, and the frame body is provided with a groove for the movable push rod to move back and forth, and the movable push rod is installed in the groove; the guide wire is folded into a "U" shape, and the It is inside the oropharyngeal catheter, and the two ends of the "U"-shaped guide wire are fixedly connected to the movable push rod. With the device of the utility model, the medical personnel do not need to extend their fingers into the patient's mouth to avoid biting the patient's teeth; in addition, when the nasobiliary duct of the ERCP patient is switched under general anesthesia, the root of the tongue can be easily avoided, greatly improving the success rate of the conversion of the mouth and nose .

Description

一次性一体式鼻胆管引导器Disposable one-piece nasobiliary guide

技术领域 technical field

本实用新型涉及一种口鼻导管引导装置,具体的说是一种一次性一体式鼻胆管引导器,属于医疗器械技术领域。 The utility model relates to an oronasal catheter guiding device, in particular to a disposable integrated nasobiliary duct guiding device, which belongs to the technical field of medical instruments.

背景技术 Background technique

目前临床工作中主要采取两种方法进行口鼻转换,第一种方法是将一次性吸痰管从鼻腔插入至病人口腔,压舌板按压舌面,血管钳钳夹吸痰管口咽端将其拉出口腔外,鼻胆管一端插入吸痰管腔内,再抽拉鼻腔处的吸痰管,将鼻胆管牵拉至鼻腔。主要缺点是:(1)压舌板按压舌面易使病人恶心、喉痉挛,(2)血管钳伸入口腔内,血管钳非一次性物品,增加交叉感染几率,(3)血管伸入口腔内可能损伤口腔粘膜;第二种方法是将黄斑马导丝一截弯曲成U型圈深入到病人口腔内,到达鼻腔与口腔相通处后,再将吸痰管从鼻腔插入至口腔并穿过U型圈,牵拉导丝将吸痰管顺利拉出至口腔外,将鼻胆管牵拉至鼻腔。主要缺点是:(1)医护人员手指伸进病人口腔增加了交叉感染几率,(2)病人在全麻无意识或恶心的情况下可能会咬伤医护人员手指,(3)随着全麻下ERCP的全面开展,对于体型肥胖、颈部较短的全麻下病人舌根易后坠,导丝U型圈非常容易受后坠舌根阻挡而回弹,从而无法顺利到达合适口咽深度。 At present, two methods are mainly adopted in clinical work to carry out mouth-nose conversion. The first method is to insert a disposable sputum suction tube from the nasal cavity into the patient's oral cavity, press the tongue surface with a tongue depressor, and clamp the oropharyngeal end of the sputum suction tube with blood vessel forceps. It is pulled out of the mouth, and one end of the nasobiliary duct is inserted into the cavity of the sputum suction tube, and then the suction tube at the nasal cavity is pulled to pull the nasobiliary duct to the nasal cavity. The main disadvantages are: (1) Pressing the tongue surface with the tongue depressor can easily cause nausea and laryngospasm in the patient; (2) The blood vessel forceps extend into the mouth, and the blood vessel forceps are not disposable items, which increases the chance of cross-infection; (3) The blood vessels extend into the mouth The oral mucosa may be damaged inside; the second method is to bend a section of the macular zebra guide wire into a U-shaped ring and penetrate into the patient's mouth until it reaches the junction between the nasal cavity and the oral cavity, and then insert the suction tube from the nasal cavity to the oral cavity and pass it through. U-shaped ring, pull the guide wire to pull the suction tube out of the mouth smoothly, and pull the nasobiliary duct to the nasal cavity. The main disadvantages are: (1) the insertion of the fingers of the medical staff into the patient's mouth increases the chance of cross-infection, (2) the patient may bite the fingers of the medical staff when the patient is unconscious or nauseated under general anesthesia, (3) with ERCP under general anesthesia For patients under general anesthesia who are obese and have a short neck, the base of the tongue is easy to fall back, and the U-shaped guide wire is very easy to be blocked by the root of the tongue and rebound, so that it cannot reach the appropriate oropharyngeal depth smoothly.

实用新型内容 Utility model content

本实用新型所要解决的技术问题是,针对以上现有技术的缺点,提出一种一次性一体式鼻胆管引导器,方便的将消化道导管经口引出改为经鼻引出,防止交叉感染。 The technical problem to be solved by the utility model is to propose a disposable integrated nasobiliary duct guider for the above shortcomings of the prior art, which can conveniently change the catheter of the digestive tract from the mouth to the nose to prevent cross-infection.

为了解决上述技术问题,本实用新型的技术方案是通过以下方式实现的:提供一种一次性一体式鼻胆管引导器,包括导丝、口咽部导管、架体以及设置在架体上的活动推杆,所述口咽部导管与所述架体连成整体,所述架体上设有供活动推杆前后移动的凹槽,所述活动推杆安装在所述凹槽内;所述导丝对折成“U”形,设置在所述口咽部导管内,且所述“U”形导丝的两端固定连接在所述活动推杆上。 In order to solve the above-mentioned technical problems, the technical solution of the utility model is realized in the following manner: a disposable integrated nasobiliary duct guide is provided, which includes a guide wire, an oropharyngeal catheter, a frame body, and a movable body arranged on the frame body; Push rod, the oropharyngeal catheter is integrated with the frame body, the frame body is provided with a groove for the movable push rod to move back and forth, and the movable push rod is installed in the groove; The guide wire is folded in half into a "U" shape and arranged in the oropharyngeal catheter, and the two ends of the "U"-shaped guide wire are fixedly connected to the movable push rod.

本实用新型的进一步限定技术方案,前述的一次性一体式鼻胆管引导器,所述口咽部导管前端设置成与咽喉部吻合的弧形结构,且出口端截面呈矩形或长圆形,以确保导丝在伸出口咽部导管时,位置相对固定,不易发生偏转。 The utility model further defines the technical solution. In the aforementioned disposable integrated nasobiliary duct guide, the front end of the oropharyngeal catheter is arranged in an arc-shaped structure that coincides with the throat, and the cross-section of the outlet end is rectangular or oblong. Ensure that the position of the guide wire is relatively fixed when it extends out of the oropharyngeal catheter, and it is not easy to deflect.

前述的一次性一体式鼻胆管引导器,所述活动推杆上设有与架体连接固定的锁扣装置,当导丝到达设定位置后,通过锁扣装置将活动推杆锁定,避免鼻胆管在穿引时导丝发生移动,影响转换成功率。 In the aforementioned disposable integrated nasobiliary duct guide, the movable push rod is provided with a locking device connected and fixed to the frame body. When the guide wire reaches the set position, the movable push rod is locked by the locking device to prevent nasal The guide wire moves during the passage of the bile duct, which affects the conversion success rate.

进一步的,前述的一次性一体式鼻胆管引导器,所述架体上设有指示活动推杆位置的刻度。 Further, for the aforementioned disposable integrated nasobiliary duct guide, the frame is provided with a scale indicating the position of the movable push rod.

本实用新型的有益效果是:(1)操作全过程医护人员手都是在病人口腔外进行从而避免了交叉感染;(2)医护人员手指不用伸到病人口腔内避免病人牙齿咬伤;(3)全麻下ERCP病人鼻胆管口鼻转换时,可以轻易避开后坠舌根,大大提高口鼻转换成功率。 The beneficial effects of the utility model are: (1) the hands of the medical staff are outside the patient's mouth during the whole operation, thereby avoiding cross-infection; (2) the medical staff do not need to extend their fingers into the patient's oral cavity to avoid the patient's teeth being bitten; (3) ) When patients with ERCP under general anesthesia switch from nasobiliary duct to mouth and nose, they can easily avoid the root of the tongue, which greatly improves the success rate of nose-to-mouth conversion.

附图说明 Description of drawings

图1为本实用新型的结构示意图。 Fig. 1 is the structural representation of the utility model.

具体实施方式 detailed description

下面对本实用新型做进一步的详细说明: The utility model is described in further detail below:

实施例1Example 1

本实施例提供的一种一次性一体式鼻胆管引导器,结构如图1所示,包括导丝1、口咽部导管2、架体3以及设置在架体上的活动推杆4,口咽部导管前端设置成与咽喉部吻合的弧形结构,且出口端截面呈矩形;口咽部导管与架体连成整体,架体上设有供活动推杆前后移动的凹槽,活动推杆安装在凹槽内,活动推杆上设有与架体连接固定的锁扣装置5,在架体上设有指示活动推杆位置的刻度;导丝对折成“U”形,设置在口咽部导管内,且“U”形导丝的两端固定连接在活动推杆上。 A disposable integrated nasobiliary duct guide provided in this embodiment has a structure as shown in Fig. The front end of the pharyngeal catheter is arranged in an arc-shaped structure that matches the throat, and the cross-section of the outlet end is rectangular; the oropharyngeal catheter is integrated with the frame body, and the frame body is provided with grooves for the movable push rod to move back and forth. The rod is installed in the groove, and the movable push rod is provided with a locking device 5 connected and fixed with the frame body, and a scale indicating the position of the movable push rod is arranged on the frame body; The two ends of the "U"-shaped guide wire are fixedly connected to the movable push rod.

本实施例在使用时,鼻胆管引导器伸入病人口咽部可以顺利越过舌根后坠处,推动活动推杆前伸,释放导丝前端的U形圈,将吸痰管从鼻腔伸入口腔,穿过导丝前端的U形圈,通过活动推杆收紧导丝,使吸痰管与引导器固定,再牵拉鼻胆管引导器,将吸痰管顺利拉入口腔,再将鼻胆管穿进吸痰管一端,拉鼻腔端吸痰管,将鼻胆管顺利拉入鼻腔,即可完成鼻胆管口鼻转换。 When this embodiment is in use, the nasobiliary duct guide can be inserted into the patient’s oropharynx to smoothly pass over the base of the tongue, push the movable push rod forward, release the U-shaped ring at the front end of the guide wire, and extend the suction tube from the nasal cavity into the oral cavity , pass through the U-shaped ring at the front end of the guide wire, tighten the guide wire through the movable push rod, fix the suction tube and the guide, then pull the nasobiliary duct guide, pull the suction tube into the mouth smoothly, and then pull the nasobiliary duct Insert one end of the suction tube, pull the suction tube at the nasal cavity, and pull the nasobiliary duct into the nasal cavity smoothly, and then complete the conversion of the nasobiliary tube to the mouth and nose.

本实用新型在全麻下一次性鼻胆管口鼻转换成功率由之前不足70%提高到96.7%,大大减轻了临床工作量,而且减少交叉感染几率,避免了病人在无意识情况下咬伤医护人员手指事件的发生。 The utility model improves the success rate of disposable nasobiliary duct mouth-nose conversion from less than 70% to 96.7% under general anesthesia, which greatly reduces the clinical workload, reduces the probability of cross-infection, and prevents patients from biting medical staff unconsciously occurrence of finger events.

以上实施例仅为说明本实用新型的技术思想,不能以此限定本实用新型的保护范围,凡是按照本实用新型提出的技术思想,在技术方案基础上所做的任何改动,均落入本实用新型保护范围之内。 The above embodiments are only to illustrate the technical ideas of the utility model, and cannot limit the protection scope of the utility model with this. Any changes made on the basis of the technical solutions according to the technical ideas proposed by the utility model all fall into the scope of the utility model. within the scope of the new protection.

Claims (4)

1.一次性一体式鼻胆管引导器,包括导丝、口咽部导管、架体以及设置在架体上的活动推杆,其特征在于:所述口咽部导管与所述架体连成整体,所述架体上设有供活动推杆前后移动的凹槽,所述活动推杆安装在所述凹槽内;所述导丝对折成“U”形,设置在所述口咽部导管内,且所述“U”形导丝的两端固定连接在所述活动推杆上。 1. Disposable integrated nasobiliary duct guider, comprising guide wire, oropharyngeal catheter, frame body and movable push rod arranged on the frame body, characterized in that: the oropharyngeal catheter is connected with the frame body On the whole, the frame body is provided with a groove for the movable push rod to move back and forth, and the movable push rod is installed in the groove; In the catheter, and the two ends of the "U"-shaped guide wire are fixedly connected to the movable push rod. 2.根据权利要求1所述的一次性一体式鼻胆管引导器,其特征在于:所述口咽部导管前端设置成与咽喉部吻合的弧形结构,且出口端截面呈矩形或长圆形。 2. The disposable integrated nasobiliary duct introducer according to claim 1, characterized in that: the front end of the oropharyngeal catheter is arranged in an arc-shaped structure that coincides with the throat, and the cross-section of the outlet end is rectangular or oblong . 3.根据权利要求1所述的一次性一体式鼻胆管引导器,其特征在于:所述活动推杆上设有与架体连接固定的锁扣装置。 3. The disposable integrated nasobiliary duct guider according to claim 1, characterized in that: the movable push rod is provided with a locking device connected and fixed with the frame body. 4.根据权利要求1所述的一次性一体式鼻胆管引导器,其特征在于:所述架体上设有指示活动推杆位置的刻度。 4. The disposable integrated nasobiliary duct guider according to claim 1, characterized in that: the frame body is provided with a scale indicating the position of the movable push rod.
CN201520415579.8U 2015-06-16 2015-06-16 Disposable integral type nose bile duct guide Expired - Fee Related CN204932547U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105641795A (en) * 2016-03-21 2016-06-08 陈涛 Oral and nasal cavity esophagus conductor
CN107029337A (en) * 2017-05-10 2017-08-11 扬州大学附属医院 Nose jejunal nutrient canal inserts guide device
CN110694164A (en) * 2019-10-16 2020-01-17 深圳市人民医院 Device for removing an exchanger from the mouth
CN111588524A (en) * 2020-06-22 2020-08-28 华中科技大学同济医学院附属协和医院 Esophageal stent fixing device and using method thereof
CN114699626A (en) * 2022-06-02 2022-07-05 浙江大学医学院附属第一医院 Mouth and nose conversion device

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105641795A (en) * 2016-03-21 2016-06-08 陈涛 Oral and nasal cavity esophagus conductor
CN107029337A (en) * 2017-05-10 2017-08-11 扬州大学附属医院 Nose jejunal nutrient canal inserts guide device
CN107029337B (en) * 2017-05-10 2022-08-16 扬州大学附属医院 Guiding device is put into to jejunum nutrient canal
CN110694164A (en) * 2019-10-16 2020-01-17 深圳市人民医院 Device for removing an exchanger from the mouth
CN110694164B (en) * 2019-10-16 2022-02-08 深圳市人民医院 Device for removing an exchanger from the mouth
CN111588524A (en) * 2020-06-22 2020-08-28 华中科技大学同济医学院附属协和医院 Esophageal stent fixing device and using method thereof
CN114699626A (en) * 2022-06-02 2022-07-05 浙江大学医学院附属第一医院 Mouth and nose conversion device

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Granted publication date: 20160106

Termination date: 20160616